HomeMy WebLinkAbout2238 E Lindberg Rd - BuildingJun 25 1410,20p JPE, LLC 360- 975 -3324 p,1
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisioWElectrical Inspections
321 East Firth Street -- P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 4174711
Date: rU
/9 & 2 Single Family Dwelling
REC"EIVE
JUN 2 6
ELECTRICAL
INSPECTIONS
"Plan Review May Be Required, Abase Copl to Electrical Plan Review Information Sheet
Job Address: Z Z.
Building Square Footage:
Description of above
Owner i nformati¢n
Name: T, £ Ida .6; Metiv�
AtailingAddress: Z2.3 k
Ciry: as
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City; _a d- Lcr tit' S(ate; 4Jh zip:
Phone: Fay:
Phone: - .
License A/ Exp.
4
hem
Unit Charge
5ervice/Feeder 200 Amp.
$120.00
5erviceJFeeder 201.400 Amp.
$146.00
Service/Feeder 401 -6a0 Amp
$ 205.00
Servlce/Feeder601 -1000 Amp.
$ 262,00
Service/Feeder over 1000 Amp.
$ 373.00
Branch Circuit W/ Service Feeder
$ 5,00
Branch Circuit W/O Service Feeder
$ 63,00
Each Additional Branch Circuit
$ 5,00
Branch Circuits 14
$ 75,00
Tamp. Service) Feeder 200 Amp.
$ 9100
Temp, Service)Feeder 201400 Amp.
$110.00
Temp, SerkeJFeeder401- 600Amp.
$149.00
Temp, Servlce/Feeder 601 -1000 Amp ,
$ 168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit) Limited Energy • 1 & 2 Family Dwelling
S 64.00
Manufactured Home Conneclion
S120.00
Renewabie Electn'cal Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
Nole: $5.00 for each addiiforral T -Slat
$
NEW CONSTRUCTION QNLY:
First 1300 Square Ft.
$120.00
Each Additional 500 Square FL or Porlion of
$ 40,00
Each Outbuilding or Detached Garage
$ 74.00
Eath Swimming Pool or Hot Tub
$ 110.0Q
Contractor Information
Name: AFC_ I tt_
Mailing Address:
V "a i f
Ciry: as
°
Stat: 'A
'
ip: -3 1
Z
'75:3
Phone: - .
' Fax: d
4
Ltcense#lExp._
.,jrG jtr' -dam
.' Eke �Z�/5
Qty
Total LCU
Mutfi lied by Unit Charge)
$
$
$
L f -7
5 . cz,
$
$
$
$
$
$
$
�+ 5 4!b Total
Owner as defined by ROW, 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required
to hire an electrical contractor if above said property 1s for sale, rent or lease. Permit expires after six months of lasl inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. i am making
the electrical installation or aiteratfan in compliance with the electrical laws, N.E.C., ROW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ check r j
...,.- .. L'p c it Card 0 co .T`tY 4J
x Dated: 11/� 01/0112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . , . 14- 00060756 Date 6/26/14
Application pin numher , , . 170800
Property Address . . , . 2238 E LINDBERG RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-13-2-1- 0110 -1000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . , to the Clty of Port Angeles
Property Use
Property Zoning , . . . , . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
Heat pump
Owner
Contractor
RESULTS:
MANTOOTFI, JAMES /ROBERTA TRUST
JPE ( JERRY PETERSON
}
2238 E LINDBERG RN.
73 FAST LOMA VISTA RD
SERVICE
PORT ANGELES
WA 96362
SEQUIM
WA 98382
ROUGH-IN
(360) 731 -8994
Permit , , , , , .
ELECTRICAL ALTER
RESIDENTIAL
Additional desc
1 -4 CIRCUITS
COMMENTS:
Permit Fee
75.00
Plan Check Fee
.00
Issue Date
6/26/14
Valuation
0
Expiration Date
12/23/14
Qty Unit Charge
Per
Extension
BASE EFF
75.00
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
75.00 75.00
.00
.00
Plan Check Total
,00
.)0 p0
.00
Grand Total
75,00 75.p0
00
.00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPHCTION
Signature of owner or Electrical Contractor X Date:.
G:IEXCIIANGEI$UILDING
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